Organization Name: | CHEYENNE CARDIOVASCULAR CONSULTANTS, LLC |
NPI Number: | 1003060542 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELE GAUTREAU (CREDENTIALING SPEC.) |
Mailing Address: | 2301 House Ave Suite 301 Cheyenne |
State: | WY US |
Postal Code: | 820013176 |
Phone Number: | 3076371600 |
Fax Number: | 3076371699 |
NPI Enumeration Date: | 11/11/2008 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |